Sacroiliac Distraction Test: Difference between revisions
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'''Original Editor '''- [[User:Justin Gray|Justin Gray]] | '''Original Editor '''- [[User:Justin Gray|Justin Gray]] | ||
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== Purpose<br> == | == Purpose<br> == | ||
The Distraction test is used to rule in and rule out a sprain of the anterior sacroiliac ligaments and sacroiliac dysfunction. This test has also been described as the Gapping (Transverse Anterior Stress) Test, and Sacroiliac Joint Stress Test<ref>2. Konin, J., Wiksten, D., Isear, J., &amp;amp; Brader, H. (2002). Special Test for Orthopedic Examination. New Jersey: Slack.</ref><ref>1. Dutton M. Orthopaedic Examination, Evaluation, and Intervention. 2nd ed. New York: McGraw Hill, 2008.</ref>.<br> | The Distraction test is used to rule in and rule out a sprain of the anterior sacroiliac ligaments and sacroiliac dysfunction. This test has also been described as the Gapping (Transverse Anterior Stress) Test, and Sacroiliac Joint Stress Test<ref>2. Konin, J., Wiksten, D., Isear, J., &amp;amp;amp;amp;amp; Brader, H. (2002). Special Test for Orthopedic Examination. New Jersey: Slack.</ref><ref>1. Dutton M. Orthopaedic Examination, Evaluation, and Intervention. 2nd ed. New York: McGraw Hill, 2008.</ref>.<br> | ||
== Technique<br> == | == Technique<br> == | ||
Patient is supine on the edge of a table. Bilateral anterior superior iliac spines are palpated by the examiner. The examiner crosses his or her arms, creating an x at the forearms. A lateral posterior directed force is applied to bilateral anterior superior iliac spines. The position is held for 30 seconds, then a vigorous force is applied to the ASIS in an attempt reproduce the patient’s symptoms. If pain is reproduced, the test is considered positive for SI joint dysfunction<ref>3. Cook, C., Cleland, J., &amp; Huijbregts, P. (2007). Creation and Critique of Studies of Diagnostic Accuracy: Use of theS methodological Quality Assessment Tool. J Manipulative Physiol Ther, 15(2), 93-102.</ref><ref>4. Cook, C., &amp; Hegedus, E. (2008). Orthopedic Physical Examination Test: An Evidence Based Approach. New Jersey: Prentice Hall.</ref><br> | Patient is supine on the edge of a table. Bilateral anterior superior iliac spines are palpated by the examiner. The examiner crosses his or her arms, creating an x at the forearms. A lateral posterior directed force is applied to bilateral anterior superior iliac spines. The position is held for 30 seconds, then a vigorous force is applied to the ASIS in an attempt reproduce the patient’s symptoms. If pain is reproduced, the test is considered positive for SI joint dysfunction<ref>3. Cook, C., Cleland, J., &amp;amp;amp;amp; Huijbregts, P. (2007). Creation and Critique of Studies of Diagnostic Accuracy: Use of theS methodological Quality Assessment Tool. J Manipulative Physiol Ther, 15(2), 93-102.</ref><ref>4. Cook, C., &amp;amp;amp;amp; Hegedus, E. (2008). Orthopedic Physical Examination Test: An Evidence Based Approach. New Jersey: Prentice Hall.</ref><br> | ||
< | {{#ev:youtube|3Rlq8lH5kQE|300}}<ref>jschuber, Pelvic Distraction. Online video available at: http://www.youtube.com/watch?v=3Rlq8lH5kQE, last accessed 13 December 2009</ref> | ||
== Evidence == | == Evidence == | ||
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
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== References == | == References == | ||
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Revision as of 15:03, 13 December 2009
Original Editor - Justin Gray
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Purpose
[edit | edit source]
The Distraction test is used to rule in and rule out a sprain of the anterior sacroiliac ligaments and sacroiliac dysfunction. This test has also been described as the Gapping (Transverse Anterior Stress) Test, and Sacroiliac Joint Stress Test[1][2].
Technique
[edit | edit source]
Patient is supine on the edge of a table. Bilateral anterior superior iliac spines are palpated by the examiner. The examiner crosses his or her arms, creating an x at the forearms. A lateral posterior directed force is applied to bilateral anterior superior iliac spines. The position is held for 30 seconds, then a vigorous force is applied to the ASIS in an attempt reproduce the patient’s symptoms. If pain is reproduced, the test is considered positive for SI joint dysfunction[3][4]
Evidence[edit | edit source]
The Diagnostic Accuracy of the Distraction test is described below.
Reliability | Sensitivity | Specificity | LR+ | LR- | |
Russel[6] | 11 | 90 | 1.1 | .98 | |
Laslett[7] [8] | .69 | 60 | 81 | 3.2 | .5 |
Albert[9] | .84 | 14 | 100 |
Resources[edit | edit source]
www.ncbi.nlm.nih.gov/sites/entrez/18458988/
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ 2. Konin, J., Wiksten, D., Isear, J., &amp;amp;amp;amp; Brader, H. (2002). Special Test for Orthopedic Examination. New Jersey: Slack.
- ↑ 1. Dutton M. Orthopaedic Examination, Evaluation, and Intervention. 2nd ed. New York: McGraw Hill, 2008.
- ↑ 3. Cook, C., Cleland, J., &amp;amp;amp; Huijbregts, P. (2007). Creation and Critique of Studies of Diagnostic Accuracy: Use of theS methodological Quality Assessment Tool. J Manipulative Physiol Ther, 15(2), 93-102.
- ↑ 4. Cook, C., &amp;amp;amp; Hegedus, E. (2008). Orthopedic Physical Examination Test: An Evidence Based Approach. New Jersey: Prentice Hall.
- ↑ jschuber, Pelvic Distraction. Online video available at: http://www.youtube.com/watch?v=3Rlq8lH5kQE, last accessed 13 December 2009
- ↑ 8. Russell A, Maksymovich W, LeClerq S. Clinical examination of the sacroiliac joints: a prospective study. Arthritis Pheumatism. 1981;24:1575-1577.
- ↑ 6. Laslett M, Aprill C, McDonald B, Young S. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of test. Man Ther. 2005;10:207-218.
- ↑ 7. Laslett M, Williams M. The reliability of selected pain provocation test for sacroiliac joint pathology. Spine. 1994;19(11):1243-1249
- ↑ 5. Albert H, Godskesen M, Westergaard J. Evaluation of clinical test used in classification procedures in pregnancy related pelvic joint pain. Eur Spine J. 2000; 9(2):161-166